High liver enzymes test 3 months ago, yesterday everything in normal range - now what?
I have T1D and since September, was on Ozempic for weight loss. I have been struggling with a severe flareup of IBS-D since a late November virus. Multiple tests - endoscopy, colonoscopy, stool samples, etc. and nothing was diagnosed definitively so I kind of gave up and didn’t follow up with my GI. My endocrinologist switched me to Mounjaro to help with the IBS and I am currently down about 50 pounds.
I had blood work done for my endocrinologist in March and had abnormally high liver enzymes so my endo referred me back to the GI. I saw a new CNP (Certified Nurse Practitioner) and she explained that my IBS-D, which I have had intermittently for years, was because I have no gall bladder (since 2001) and agreed with me, Dr. Google, and Reddit’s r/ibs, that I probably do have BAM (bile acid malabsorption). Add in my annoyance that my lack of gall bladder was never mentioned as the reason for my IBS-D, and I feel a bit overwhelmed.
The new CNP prescribed meds for the IBS but ordered a fibroscan of my liver at my appointment. Lo and behold, I have 67% fatty liver.
I had bloodwork yesterday and my liver enzymes are right back in normal range. I wonder how long this liver issue has been around because if it wasn’t for that anomaly back in March, I would probably never have had the fibroscan and this diagnosis.
I don’t drink alcohol and never take acetaminophen (interferes with my pump and insulin) so now I’m trying to readjust my diet (again, after months of FODmap) and wondering where I go from here.
At least I stopped shitting my pants so there’s that.